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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Nurses,medication errors,Pediatric,Self-report,Drug events
- چکیده:
- چکیده انگلیسی: Background
Medication errors (MEs) are the most common types of medical errors which effecting on pediatric safety. For decrease MEs, we should to have information about difference aspects of MEs. We have no study which assessed the frequency, types and causes of MEs made by pediatric nurses, in Iran.
Material and Methods
This was a cross-sectional study, which performed on 53 Pediatric Nurses. Data were collected by a self-structured questionnaire for assessment of MEs contained 3 parts: 1- one question about the fact that, do you had MEs in past 3 months; 2- types of MEs occurred (12 items); 3- causes of MEs from nurses’ perspective (20 items). The MEs in past 3 months gathered through pediatric nurses’ self-report. Descriptive statistics and Chi-square test were used for analysis. Data were analyzed using the SPSS.
Results
The majority of participants were female (77.3%), and initial (novice) nurses (33.9%). The results showed that, 31 (58.4%) of nurses were reported at least one MEs history and totally, 131 MEs were occurred in past 3 months. Most prevalent of MEs types were reported: wrong dose (36.6%) and wrong drug preparation (14.5%). Also, most prevalent of MEs causes from Nurses’ perspective were reported: poor medication knowledge (96.2%) and poor calculation skills (73.5%).
Conclusion
With using of this study results, we can program for prevention/decrease MEs and enhancing pediatric safety. On the basis of this study, actually we should enhancing level of nurses knowledge by education and to carry out special courses for pediatric nurses.- انتشار مقاله: 16-12-1394
- نویسندگان: Mojtaba Miladinia,Kourosh Zarea,Shahram Baraz,Elham Mousavi Nouri,Amir Hosein Pishgooie,Mehdi Gholamzadeh Baeis
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: anxiety,children,Leukemia,massage,Complementary Medicine,Non-drug
- چکیده:
- چکیده انگلیسی: Background
Among all malignances, leukemia has the greatest effects on patients 'psychological aspects. Anxiety is common problem in leukemia patients (especially in children). Since no study has addressed the effect of Slow-stroke back massage (SSBM) on anxiety in the pediatrics with chronic leukemia, this investigation aimed to controlling anxiety through a non-drug method (such as SSBM) in children with chronic leukemia.
Materials and methods
In this Randomized double-blind trial, 35 children with chronic leukemia were placed in the intervention or control groups. The intervention group received 5-minute SSBM sessions, 3-time a week (every other day) for 4 weeks. The data were collected using the Revised Children’s Manifest Anxiety Scale (RCMAS). Before the investigation, anxiety levels were measured in both groups, at the 2th, 4th weeks and also two weeks after the end of intervention (6th weeks). Chi-square, repeated measure, and t-test were used for analysis with using SPSS-16.
Results
Most of children were suffered from chronic myeloid leukemia (62.8%). The repeated measure ANOVA showed that, the SSBM significantly reduced progressive mean of anxiety over time (P<0.05). While in the control group, mean of anxiety did not change over time. Also, the mean of anxiety increased in the massage group two weeks after end of the intervention, however, it was still lower than the baseline (P<0.05).
Conclusion
The findings of this study are suggesting that SSBM, as a non-drug, easy and safe method, is effective for controlling anxiety in chidren with chronic leukemia. Therefore, caregivers should pay attention to this method.- انتشار مقاله: 17-10-1394
- نویسندگان: Mojtaba Miladinia,Leila Fakharzadeh,Kourosh Zarea,Elham Mousavi Nouri
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Leukemia,Pediatric,massage,Complementary Medicine,Vomiting,Nausea
- چکیده:
- چکیده انگلیسی: Introduction
Nausea and vomiting are the most common side effects of chemotherapy in the pediatrics with cancer which affect their quality of life. Use of some methods of complementary medicine in leukemia patients is problematic. Because, leukemia patients are at risk of infection and bleeding, therefore the use of acupressure, acupuncture, and deep massage can be risky in these patients. Slow- stroke back massage is applied on the surface of body, so does not have complications. No study has addressed the effect of massage therapy on chemotherapy-induced nausea and vomiting in pediatrics with acute leukemia in the world.
Material and methods
This study was a two-group randomized controlled trial (RCT), double blind and repeated measures design. In this RCT, 45 school age children with acute leukemia were placed in the massage and control groups. Before start of the study, at the day of chemotherapy administration (day 1th), only nausea and vomiting were measured. Then during 6 days next (day 2 through 7), the intervention group received 5-minutes Super Smash Bros. Melee (SSBM), immediately before start of each session of chemotherapy. Nausea was measured during chemotherapy, 0.5 h and 3 h after each session of chemotherapy in the two groups. Also vomiting was recorded during 24 h after each session of chemotherapy. Repeated measures ANOVA, Chi-square, and t-test were used for analysis.
Results
Most of pediatrics were male (58.13%), and suffered from Acute myeloid leukemia (AML) (81.7%). The repeated measure analysis showed that in the intervention group, the SSBM reduced progressive mean of nausea severity and frequency of vomit over time. While, this side effects have slightly increased over time in the control group.
Conclusion
The results of this study are suggesting that SSBM, as a non-pharmacologic, easy and safe method, is effective in controlling Chemotherapy-induced nausea and vomiting (CINV) in the pediatrics with acute leukemia.- انتشار مقاله: 15-09-1394
- نویسندگان: Mojtaba Miladinia,Shahram Baraz,Elham Mousavi Nouri,Mehdi Gholamzadeh Baeis
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: smoking,Infant,Breastfeeding,Bed-sharing,SIDS
- چکیده:
- چکیده انگلیسی: Background:
Infant mortality is often used as a standard measure of a population’s health. Until cause of Sudden Infant Death Syndrome is unknown (SIDS), the best strategy to decrease SIDS, is programming to decrease facing with risk factors. The aim of this study was to find the SIDS risk factors among families during their child care in Iran. The study is the first in Iran to examine the risk
Material and methods:
In the observational cross-sectional study, 878 mother-infant pairs who visited governmental health clinics were included by convenience sampling. The inclusion criteria was, all mother-infant pairs which infants Results:
Most common risk factors of SIDS was determined: co-sleeping (92.03%), bed sharing (49.31%), side lying position (47.49%) and non-exclusive breastfeeding (45.5%). A significant relationship was found between bed-sharing and head covering (p=0.001); bed-sharing and prone position (p=0.001); bed-sharing and breastfeeding (under 4 months) (p=0.001); mothers' age and co-sleeping (p=0.038) mothers' age and prone position (p=0.001).
Conclusion:
SIDS risk factors were common during child care. Hygienic teams and nurses have a key role in SIDS prevention through enhancing level of parental awareness by education to family about risk factors and its prevention is necessary. Further studies to identify risk factors and incidence of SIDS in different regions country are recommended.- انتشار مقاله: 26-08-1394
- نویسندگان: Mojtaba Miladinia,Shahram Baraz,Elham Mousavi Nouri
- مشاهده